3 Lymphoma Nursing Care Plans

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Lymphoma is a form of cancer that affects the immune system – specifically, it is a cancer of immune cells called lymphocytes, a type of white blood cell. It includes distinct entities defined by clinical, histologic, immunologic, molecular, and genetic characteristics. Based on histologic characteristics, lymphomas are divided into two major subgroups: Hodgkin’s disease and non-Hodgkin’s lymphoma.

Nursing Care Plans

Below are three nursing care plans and nursing diagnosis for patients with Lymphomas.

  1. Sexual Dysfunction
  2. Ineffective Breathing Pattern
  3. Deficient Knowledge
  4. Other Possible Nursing Care Plans
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Deficient Knowledge

Nursing Diagnosis

May be related to

  • Lack of exposure/recall
  • Information misinterpretation
  • Unfamiliarity with information resources
  • Cognitive limitations

Possibly evidenced by

  • Request for information, verbalization of problem, statements reflecting misconceptions
  • Inaccurate follow-through of instruction, development of preventable complications

Desired Outcomes

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  • Verbalize understanding of condition, prognosis, and potential complications.
  • Identify relationship of signs/symptoms to disease process.
  • Initiate necessary lifestyle changes.
Nursing InterventionsRationale
Discuss potential complications relative to specific therapeutic regimen.Possible side effects and long-term physical complications of radiation (direct or indirect) and some chemotherapy agents include pneumonitis, hypothyroidism, pericarditis, cardiomyopathy.
Emphasize need for ongoing medical follow-up.Following treatment, there is increased risk of secondary malignancies (thyroid, myeloid leukemia, non-Hodgkin’s lymphoma) in addition to other complications listed. Note: Yearly Pap smears are recommended for female patients because Hodgkin’s cells may be found on the cervix.
Identify signs and symptoms requiring further evaluation, such as cough, fever, chills, malaise, dyspnea (pneumonitis); weight gain, slow pulse, decreased energy level, intolerance to cold (hypothyroidism); moderate fever, chest pain, dry cough, dyspnea, rapid pulse (pericarditis); dyspnea, fatigue, chest pain, dizziness/syncope (cardiomyopathy).Prompt intervention can limit progression of complication, reduce debilitating effects.
Recommend regular exercise in moderation, with adequate rest. Discuss energy conservation techniques.Promotes general well-being. Note: Fatigue is associated with disease process and treatment regimen, as well as developing complications. Therefore, balancing activity with rest enhances patient’s ability to perform ADLs.
Review infection prevention measures and signs and symptoms requiring further evaluation.Condition is associated with a complex deficiency in cellular immunity both before and after therapy. Note: Herpes zoster is a common occurrence.
Determine financial needs and concerns. Identify community resources, vocational services.Although survival rates are relatively good, patients often have limitations in physical activities and employment because of dyspnea, chronic fatigue, and difficulties in concentration or memory. Presence of the disease can also impact patient’s ability to work or qualify for bank loans or obtain insurance.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other care plans for hematologic and lymphatic system disorders:

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
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